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1639472699
DEWAYNE W MACK
ALEXANDRIA, VA
NPI
1639472699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WC0400X Registered Nurse, Case Management
(Licence: VA 0001142876)
Enumeration Date
2010-12-14
Last Update Date
2010-12-14
Business Address
Mr. DEWAYNE W MACK Registered Nurse
8119 HOLLAND RD
ALEXANDRIA, VA 22306-3135
Phone number: 703-360-6910
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Mailing Address
Mr. DEWAYNE W MACK Registered Nurse
8119 HOLLAND RD
ALEXANDRIA, VA 22306-3135
Phone number: 703-360-6910
Copy
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